Active NPI
Ryan Thomas Smedley, O.D.
- Corneal and Contact Management Optometrist
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 2428
- Practice address
- 5191 W 112TH Ave Ste 100
Westminster, CO 80031-2178 - Phone
- (720) 355-2131
- NPI assigned
- May 25, 2007
- Last updated
- Nov 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 2428 | CO | Primary |
Addresses
Primary practice location
5191 W 112TH Ave Ste 100
Westminster, CO 80031-2178
Mailing address
10442 Town Center Dr
Ste 600
Westminster, CO 80021-6098
Phone (303) 980-1157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3301 Discovery CT
Broomfield, CO 80023-8034
3307 Discovery CT
Broomfield, CO 80023-8034
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2428 | CO | MD | Chiropractor |
| 1209 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyesight LLC | Current | Accepting new patients | |
| Nevada Eyecare LLC | Current | Accepting new patients |
Locations
5191 W 112th Ave
Ste 100
Westminster, CO 80031
Phone (303) 635-3937
7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Westminster, CO
- NPI 1184334518
-
- Optometrist
- Las Vegas, NV
- NPI 1427887827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669507200000",
"number": "1194936401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10442 TOWN CENTER DR",
"address_2": "STE 600",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800216098",
"telephone_number": "303-980-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5191 W 112TH AVE STE 100",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800312178",
"telephone_number": "720-355-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMEDLEY",
"first_name": "RYAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2022-11-27",
"certification_date": "2022-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CO",
"license": "2428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
- Jessica Small
- Samantha K Smalley, BCBA
- Smart Medicine LLC
- Smartcare Operations Group, Inc. (SmartCare Family Medical Centers)
- Smartcare Operations Group, Inc. (SmartCare Family Medical Centers)
- Smile Rockers, PLLC
- Smile Zone Orthodontics (Dr. Jonathan Weinbach)
- Lindsay Smith-Hayes, MA MFTC
- Rebecca Smith-Woody, M.A. L.P.C.
- Alexander Walter Smith, PHD, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.